Individual
NICHOLAS MARCEL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-3534
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
Taxonomy
Speciality
Code
Description
License number
State
2278P1006X
Pulmonary Function Technologist Certified Respiratory Therapist
Primary
27382
CA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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